Consent form: Fill out & sign online

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Click ‘Get Form’ to open the consent form in our editor.
Begin by filling in your name at the top of the form where indicated. This personalizes the document and confirms your identity.
Review the contraindications section carefully. Ensure you understand any potential allergies or conditions that may affect your treatment.
In the risks section, read through all possible side effects listed. Acknowledge your understanding of these risks before proceeding.
Follow the instructions for using Latisse as outlined in the use section. Make sure to note important application guidelines to avoid complications.
Finally, sign and date the form at the bottom to confirm your consent and understanding of the treatment and its associated risks.

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